Cullen

The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh

 

[ID:6246] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Anonymous (Patient) / 5 December 1768 / (Outgoing)

Letter concerning a case of gout, in a patient identified only as 'his Grace'.

Facsimile

There are 2 images for this document.

[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 6246
RCPE Catalogue Number CUL/1/1/2/39
Main Language English
Document Direction Outgoing
Date5 December 1768
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Letter concerning a case of gout, in a patient identified only as 'his Grace'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:206]
Case of 'His Grace' (unnamed), who has gout.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1498]Patient
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Cullen's House / Mint Close Edinburgh Edinburgh and East Scotland Europe certain

Normalized Text

[Page 1]


Having considered the History of his Grace's constitution
and the whole of his present complaints I am of opinion that they
present ailments are entirely a Gouty affection & such as we
have many times observed to proceed from such a Cause


The most certain relief would arise from the Gouts -
attacking the Extremities with Some Severity but this is hardly
to be expected from his Grace's complaints ↑constitution↑ & I do not think
it is in the Power of Art. It is however to be hoped from the
increase of the present Symptoms maybe p↑r↑evented & that
the efforts of Nature to throw out the Gout may be very
much favoured.


For the first I would advise a Pea Issue to be put
into the left leg either a little below or above the knee; this
may {illeg} [fore serae?] a determination to the Extremities,
in Some measure supply the Gout, at least so far as to



[Page 2]

prevent the Consequences of its not forming. To favour
any efforts that nature may make towards throwing {illeg} out
the Gout upon the Extremities. I think Dr [Stevenson?] has
given very proper advice. The Substance of it is to avoid
indigestion & Cold & to employ a great deal of Exercise.
The medicines he has avoided advised are very proper but
Medicines cannot do much Service & the long continuance of
them might do harm. The only Medicines I can recommend
to be continued for any length of time is Pyrmont Water.

W.C.
Edinburgh 5th December 1768
-

Diplomatic Text

[Page 1]


Having considered the History of his Grace's constitution
and the whole of his present complaints I am of opinion that they
present ailments are entirely a Gouty affection & such as we
have many times observed to proceed from such a Cause


The most certain relief would arise from the Gouts -
attacking the Extremities with Some Severity but this is hardly
to be expected from his Grace's complaints ↑constitution↑ & I do not think
it is in the Power of Art. It is however to be hoped from the
increase of the present Symptoms maybe p↑r↑evented & that
the efforts of Nature to throw out the Gout may be very
much favoured.


For the first I would advise a Pea Issue to be put
into the left leg either a little below or above the knee; this
may {illeg} [fore serae?] a determination to the Extremities,
in Some measure supply the Gout, at least so far as to



[Page 2]

prevent the Consequences of its not forming. To favour
any efforts that nature may make towards throwing {illeg} out
the Gout upon the Extremities. I think Dr [Stevenson?] has
given very proper advice. The Substance of it is to avoid
indigestion & Cold & to employ a great deal of Exercise.
The medicines he has avoided advised are very proper but
Medicines cannot do much Service & the long continuance of
them might do harm. The only Medicines I can recommend
to be continued for any length of time is Pyrmont Water.

W.C.
Edinr 5th Decr 1768
-

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